Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | A135959 | CA |
N | 111NI0900X | Internist | A135959 | CA |
N | 207RC0000X | Internist - Cardiovascular Disease | 11416134 | UT |
N | 207RC0000X | Internist - Cardiovascular Disease | A135959 | CA |
N | 207RC0200X | Critical Care Medicine | A135959 | CA |
NPI | 1063850956 |
---|---|
Provider Name | Dr. Joseph Alexander Palatinus |
First Address | Salt Lake City, UT 84102 |
Second Address | Salt Lake City, UT 84112-8930 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/06/2013 |
Last Update Date | 10/12/2020 |